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2022年埃塞俄比亚西南部公立医院产前检查女性牙周病的患病率及危险因素:一项多中心横断面研究

Prevalence and Risk Factors for Periodontal Disease Among Women Attending Antenatal Care in Public Hospitals, Southwest Ethiopia, 2022: A Multicenter Cross-Sectional Study.

作者信息

Belay Alemayehu Sayih, Achimano Atsede Atirsaw

机构信息

Mizan Tepi University, College of Medicine and Health Sciences, Department of Nursing, Mizan Aman, Ethiopia.

Mizan Dental Clinic, Department of Dental Medicine, Mizan Aman, Ethiopia.

出版信息

Clin Cosmet Investig Dent. 2022 Jun 7;14:153-170. doi: 10.2147/CCIDE.S367713. eCollection 2022.

Abstract

BACKGROUND

Periodontal disease is characterized by the inflammation of all tissues that surround and support the teeth, and it is the most common public health problem worldwide. It has many different contributing factors, such as poor oral hygiene, smoking, anemia, bacterial plaque, poor economic status, and nutritional deficiency. It also causes different feto-maternal complications like preeclampsia, gestational diabetes, preterm labor, low birth weight, and early abortion. Thus, this study aimed to assess the prevalence and associated factors of periodontal disease among pregnant women.

METHODS

A cross-sectional study was conducted among 618 women at public hospitals in the Southwest Ethiopia. Data were collected using a systematic random sampling method and a structured interviewer administered questionnaire. The data were entered into Epi-Data Manager 4.2 and then transferred to a statistical package for social science (SPSS) version 21 for analysis. The logistic regression analysis was done to see the significant association between each predictor with periodontal disease by considering a p-value of <0.05 and a CI of 95%.

RESULTS

A total of 618 women attending ANC with a 100% response rate were enrolled in this study. The mean and standard deviation of the age of the study participants was 31.07 ± 7.8 years. The periodontal disease was observed among 240 (38.8%) of the total participants with 95% C.I of (35%, 43%). Predictors like rural residency, women who could not read and write, women with poor wealth index, nutritional status of underweight, had no information about periodontal disease, depression, history of diabetes mellitus, self-perceived halitosis, no history of ANC, and lower gestational age were found to be significantly associated with periodontal disease.

CONCLUSION

In this study, the prevalence of periodontal disease was found to be significantly higher. Therefore, in order to minimize the burden of periodontal disease among pregnant women, oral, medical, and mental health education should be promoted.

摘要

背景

牙周病的特征是围绕和支持牙齿的所有组织发生炎症,它是全球最常见的公共卫生问题。它有许多不同的促成因素,如口腔卫生差、吸烟、贫血、牙菌斑、经济状况差和营养缺乏。它还会导致不同的母婴并发症,如先兆子痫、妊娠期糖尿病、早产、低出生体重和早期流产。因此,本研究旨在评估孕妇牙周病的患病率及相关因素。

方法

在埃塞俄比亚西南部的公立医院对618名女性进行了一项横断面研究。使用系统随机抽样方法和结构化访谈问卷收集数据。数据录入Epi-Data Manager 4.2,然后转移到社会科学统计软件包(SPSS)21版进行分析。通过考虑p值<0.05和95%的置信区间,进行逻辑回归分析以查看每个预测因素与牙周病之间的显著关联。

结果

本研究共纳入618名参加产前检查且应答率为100%的女性。研究参与者的年龄均值和标准差为31.07±7.8岁。在240名(38.8%)的总参与者中观察到牙周病,95%置信区间为(35%,43%)。发现农村居住、不识字的女性、财富指数低的女性、体重过轻的营养状况、对牙周病一无所知、抑郁、糖尿病史、自我感觉有口臭、无产前检查史以及孕周较小等预测因素与牙周病显著相关。

结论

在本研究中,发现牙周病的患病率显著更高。因此,为了尽量减少孕妇牙周病的负担,应加强口腔、医学和心理健康教育。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c5d7/9188398/600e227a2bdc/CCIDE-14-153-g0001.jpg

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